86.5/100
Excellent
Zearing Health Care, Llc
404 East Garfield St, Zearing, IA 50278
- Certified beds
- 40
- Occupancy
- 80%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$22,205 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Zearing Health Care, Llc
Zearing Health Care runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about another 10% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. The inspection record shows 8 deficiencies with none at harm or jeopardy level, though 3 are abuse-related, which is worth asking about directly. Quality measures score well, and the last inspection was recent. Small Iowa home, mostly solid numbers, with weekend coverage and those abuse citations as the real questions.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
26/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.64 total nurse hours per resident per day (national median 3.77)
- →0.89 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
7.5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →No turnover figure reported, scored neutral
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$22,205 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: January 22, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Zearing Health Care, Llc
What is the ElderGrade for Zearing Health Care, Llc? +
Zearing Health Care, Llc holds an ElderGrade of A (86.5 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Zearing Health Care, Llc? +
Residents receive an average of 3.68 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Zearing Health Care, Llc been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Zearing Health Care, Llc accept Medicaid? +
Yes, Zearing Health Care, Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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